Wars do not end with peace. When America’s Civil War was over it set the stage for another, more enduring conflict, as a fractured society confronted the lingering psychological consequences that followed the four brutal years of deprivation, distrust, and death. The enemy was intangible, lurking in the minds of the war’s survivors. Like any great conflict, the battles raged back and forth, as the war weary fought the mental demons.

Silenced by stigma and shame, the suffering of the War’s survivors surfaced in statistics as the rates of depression, suicide, insanity, crime, and cults climbed. For others, alcohol abuse or a morally suitable misuse of patent medicines relieved the daily distress. Dispirited and distrustful survivors spurned traditional religion and medical practice and sought solace from shady spiritualists and duplicitous doctors dispensing phony panaceas. Epic battles fought across America’s landscape inspired countless books on the guts and glory of war but the lingering emotional consequences of conflict are neither glamorous nor visible, making this book unique in its comprehensive coverage of an often ignored cost of conflict.